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目的研究白内障超声乳化术的特点、并发症及防治措施,总结了一组白内障超声乳化术的操作改进及随访结果。方法对40例(40只眼)白内障施行超声乳化小切口(6mm)人工晶体植入术,并采用周边旋转刻蚀法对硬核性白内障顺利完成手术。结果术后3~6个月,裸眼视力≥1.0者占57.5%;≥0.8者占82.5%;≥0.5者占97.5%。术后平均散光为0.50±0.25D,小于同期内施行的40例大切口(9~12mm)对照组(P<0.001)。结论该手术不失为一种优于白内障囊外摘除术且安全、可靠的复明手术。
Objective To study the characteristics, complications and prevention and treatment of phacoemulsification and to summarize the operational improvements and follow-up results of a group of cataract phacoemulsification. Methods Forty cases (40 eyes) of cataract were treated with phacoemulsification with small incision (6mm) and intraocular lens implantation (IOL). Results 3 to 6 months after operation, uncorrected visual acuity ≥1.0 accounted for 57.5%; ≥0.8 accounted for 82.5%; ≥0.5 accounted for 97.5%. The average postoperative astigmatism was 0.50 ± 0.25D, less than the 40 cases with large incision (9 ~ 12mm) in the same period (P <0.001). Conclusion The surgery is a safe and reliable surgeries than extracapsular cataract extraction.